A 12-month-old child just received the first measles, mumps, and rubella
(mmR) vaccine. For which of the following possible reactions to this
vaccine should the nurse teach the parents to monitor? (Select all that
apply.)
A.Rash
B.Swollen glands
C.Bruising
D. headache
E.Inconsolable crying A. A rash and fever can develop in children 1 to 2
weeks following
mmR immunization.
B. Swollen glands can develop in children 1 to 2 weeks following
mmR immunization.
,C. A temporary low platelet count, causing bruising or bleeding, can
occur occasionally following
mmR immunization
A charge nurse is planning a staff education session to discuss
medications used during the care of a client experiencing alcohol
withdrawal. Which of the
following medications should the charge nurse include in the discussion?
(Select all that apply.)
A.Lorazepam
B.Diazepam
C.Disulfiram
D.Naltrexone
E.Acamprosate A. Lorazepam is a benzodiazepine used during alcohol
withdrawal to decrease anxiety and reduce the risk for seizures.
B. Diazepam is a benzodiazepine used during alcohol
withdrawal to decrease anxiety and reduce the risk for seizure
,A charge nurse is teaching a group of nurses about the importance of
prophylactic antimicrobial therapy. Which of the following information
should the charge nurse include in the teaching? (Select all that apply.)
A.Administer prophylactic
antimicrobial therapy to clients who report exposure to a sexually
transmitted infection.
B.Administer prophylactic antimicrobial therapy to
clients who are having
orthopedic surgery.
C.Instruct clients who have a prosthetic heart valve about the need for
prophylactic
antimicrobial therapy
before dental work.
D.Consult the provider for
prophylactic antimicrobial
therapy for clients who
have recurrent urinary
tract infections.
, E.Instruct clients to request
prophylactic antimicrobial
therapy immediately
when they have an upper
respiratory infection A. Clients who suspect exposure to a sexually
transmitted infection require prophylactic
antimicrobial therapy to prevent an infection.
B. Clients who are having orthopedic surgery require
prophylactic antimicrobial therapy to prevent an infection.
C. Clients who are having dental work and have a prosthetic heart valve
should receive prophylactic
antimicrobial therapy to prevent an infection.
D. Clients who have recurrent urinary tract infections should
receive prophylactic antimicrobial therapy to prevent an infection
A nurse assessing a client's IV catheter insertion site notes a hematoma.
Which of the following actions should the nurse take? (Select all that
apply.)
A.Stop the infusion.